Individual provider · Type 1 NPI
Virginia Marie Hackenberg, MD
Gynecology Physician · Leesburg, VA
NPI number
1306830179
Active
Practice location
19465 Deerfield Ave, Suite 205
Leesburg, VA 20176-1701
Fax (703) 729-3647
Mailing address
PO Box 17334
Baltimore, MD 21297-1334
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Gynecology Physician Primary | 207VG0400X | 0101044998 (VA) |
Gynecology Physician: A physician who specializes in diagnosis, treatment, and management of patients with gynecologic conditions.
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About NPI 1306830179
Virginia Marie Hackenberg, MD's National Provider Identifier is 1306830179, issued on Sep 7, 2005. The primary taxonomy on file is Gynecology Physician (207VG0400X), and the practice location is in Leesburg, VA. The record was last updated on Jul 23, 2010.